<!DOCTYPE html>
<html>

	<head>
		<meta charset="utf-8">
		<title>绑定银行卡</title>
		<meta name="viewport" content="width=device-width, initial-scale=1,maximum-scale=1,user-scalable=no">
		<meta name="apple-mobile-web-app-capable" content="yes">
		<meta name="apple-mobile-web-app-status-bar-style" content="black">

		<!--标准mui.css-->
		<link rel="stylesheet" href="../../../css/mui.min.css">
		<link rel="stylesheet" type="text/css" href="../../css/icons-extra.css" />
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		<link rel="stylesheet" type="text/css" href="../../../css/app.css" />
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	</head>

	<body>
		<header class="mui-bar mui-bar-nav">
			<a class="mui-action-back mui-icon mui-icon-left-nav mui-pull-left"></a>
			<h1 class="mui-title">绑定银行卡</h1>
		</header>
		<div class="mui-content">
			<div  class="mui-control-content mui-active">
				<form class="mui-input-group">
					
					<div class="mui-input-row h50 pr">
						<i class="mui-icon-cang mui-jm   mui-pull-left"></i>
						<label class="pl40">姓名</label>
						<input type="password" class="mt5   mui-input mui-yuuye" placeholder="请输入联系人">
					</div>
					<div class="mui-input-row h50 pr">
						<i class="mui-icon-cang mui-idnumber   mui-pull-left"></i>
						<label class="pl40">身份证号</label>
						<input type="password" class="mt5   mui-input mui-yuuye" placeholder="请输入身份证号">
					</div>
					<div class="mui-input-row h50 pr">
						<i class="mui-icon-cang mui-yhk mui-pull-left"></i>
						<label class="pl40">银行卡卡号</label>
						<input type="password" class="mt5   mui-input mui-yuuye" placeholder="请输入联系电话">
					<a class="mui-navigate-right"></a>
					</div>
					<div class="mui-input-row h50 pr">
						<i class="mui-icon-cang mui-yinhang   mui-pull-left"></i>
						<label class="pl40">选择银行</label>
						<input type="password" class="mt5   mui-input mui-yuuye" placeholder="请输入固定电话">
					</div>
					
					<div class="mui-input-row h50 pr">
						<i class="mui-icon-cang mui-yuliuphone   mui-pull-left"></i>
						<label class="pl40">预留手机号</label>
					</div>
					<div class="mui-input-row login-input pr">
								<span class="mui-icon mui-icon-cang mui-yzm"></span>
								<input type="password" class="mui-input-password" placeholder="验证码" data-input-password="3">
								<div class="login-line"></div>
								<span class="hqyzm">获取验证码</span>
							</div>
				</form>
			</div>
			<button type="button" class="mb20 login-btn-sz ">确定绑定</button>
		</div>
	</body>
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</html>